Stanford B型胸主动脉夹层腔内修复术后假腔管理与主动脉重塑研究进展OA

Stanford Type B aortic dissection(TBAD)represents a prevalent and life-threatening aortic pathology.Thoracic endovascular aortic repair(TEVAR)has supplanted open surgery as the principal therapeutic modality,offering minimally invasive access and accelerated recovery.Nevertheless,the persistence of perfused false lumen following TEVAR constitutes a critical unresolved challenge,predisposing patients to aneurysmal degeneration and late adverse events.This article systematically reviews core literature from both domestic and international sources,and combines it with guidelines from vascular-related societies both domestically and internationally.It is found that continuous perfusion of the false lumen after TEVAR remains a major challenge at present,while emerging endovascular techniques show promising prospects in terms of embolizing the false lumen and promoting aortic remodeling.